Misty Severt Munger, FNP
Individual provider Active NPI Nurse Practitioner · Charlotte, NC
NPI 1104356393 · NPPES record last updated Feb 11, 2026
Key facts
- NPI
- 1104356393
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5009659 (NC)
- Practice address
- 10616 Metromont Pkwy Ste 210
Charlotte, NC 28269-7670 - Phone
- (704) 774-6569
- Fax
- (855) 308-2340
- NPI assigned
- Jun 19, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lamond Family Medicine PLLC
Practice addresses (Care Compare)
10616 Metromont Pkwy
Suite 210
Charlotte, NC 28269-7656
Phone (828) 693-9199
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170822001655 | NC | Practitioner - Nurse Practitioner | 3577835883 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5009659 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lamond Family Medicine, PLLC | Current |
Accepting new patients |
Locations
6051 Tyvola Glen Cir
Charlotte, NC 28217
Phone (704) 774-6569
10616 Metromont Pkwy
Ste 210
Charlotte, NC 28269
Phone (704) 774-6569
317 N King St
#A
Hendersonvlle, NC 28792
Phone (828) 693-3344
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5009659 | NC | |
| Nurse Practitioner | 363L00000X | 5009659 | NC | Yes |
Addresses
Primary practice location
10616 Metromont Pkwy Ste 210
Charlotte, NC 28269-7670
Mailing address
PO Box 360
Sylva, NC 28779-0360
Phone (888) 339-6065
NPI Registry JSON
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1104356393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 360",
"city": "SYLVA",
"state": "NC",
"postal_code": "287790360",
"telephone_number": "888-339-6065",
"fax_number": "828-538-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10616 METROMONT PKWY STE 210",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282697670",
"telephone_number": "704-774-6569",
"fax_number": "855-308-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNGER",
"first_name": "MISTY",
"middle_name": "SEVERT",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5009659",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5009659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Lisa Munday
- Linda Mundle
- Matthew Christian Mundorf
- Thomas K Mundorf
- Shalini Mundra
- Kimbly S Mungin
- Jayla Nicole Munn
- Lindsay Thompson Munn
- Reagan McKenzie Munn
- Liz Munoz-Islas
All providers in Charlotte, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.